CLINICAL PRACTICE Problems in obtaining sufficient anaesthesia with propofol and remifentanil: three cases, a test infusion, and a review
نویسندگان
چکیده
Editor’s key points † Three patients with an apparently decreased response to remifentanil. † Two of these patients subsequently tested with a step-up infusion of remifentanil. † They had a normal analgesic response but limited respiratory and consciousness responses. † The cause of this impaired effect is not clear. Background. Over a 5 yr period, we have encountered three patients in whom remifentanil appeared to have no clinical effect during general anaesthesia (GA). We describe seven anaesthetics in these three patients.
منابع مشابه
Problems in obtaining sufficient anaesthesia with propofol and remifentanil: three cases, a test infusion, and a review.
BACKGROUND Over a 5 yr period, we have encountered three patients in whom remifentanil appeared to have no clinical effect during general anaesthesia (GA). We describe seven anaesthetics in these three patients. METHODS We reviewed the literature on this subject. A simple reproducible test to explore this response was designed. This involved a controlled infusion of increasing doses of remife...
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